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Desarrollo y Difusión de 
FoRmacIon para dejar de FUmar en 
Latinoamerica 
Proyecto FRuItFUL 
10 December 2014
Agenda 
17:00-17:05: Round presentation 
17:05- 17:30: Background: The Catalan Institute of Oncology 
- Catalan Network of Tobacco free Hospitals 
- E-oncologia: Online platform 
Online Course: 
- Pedagogical resources 
- Modules and contents 
- Evaluation 
Adaptation to Latino American Countries 
17:30-18:00: Open turn of questions
Background: Catalan Institute of Oncology (ICO) 
It is a comprehensive cancer center created in 1995: 
ICO covers: 
 Prevention (Tobacco Control Unit-Catalan Network) 
 Care specialist training (E-oncologia) 
 Research 
http://ico.gencat.cat/es
Background: Catalan Network for Tobacco free Hospitals 
Began promoting tobacco control at hospitals in 2000. 
It coordinates 71 public hospitals in Catalonia. 
Main aim to develop a common strategy amongst 
healthcare services active in tobacco prevention and 
cessation 
Training and Education is one of its strategic pillars. 
We offer in person courses and an online course since 2012. 
www.xchsf.com
It is an online space for specialized oncology education. 
e-oncología represents the first experience in online continuous 
education in oncology in Spanish language. 
Its main aim is to create virtual learning spaces related 
to cancer. 
It is an initiative from the Catalan Institute of Oncology, a 
comprehensive cancer center. 
www.e-oncologia.org 
Background: e-oncologia
What we do 
Programs 
Projects 
SEOM Post-graduate certificate on medical oncology for residents. 
942 h 
Radiotherapy oncology education. 
85 h 
Cervical Cancer Prevention Program. 
25 h 
Oncology nursing education. 
155 h 
Cancer Research and Epidemiology Program. 
480 h 
VUCCnet: Virtual University Cancer Control in Africa. IAEA 
SMILE-ON: Supporting innovative learning approaches through Mobile 
Integration in the workpLacE - Oncology Nursing. LEONARDO European 
Grant
VUCCnet – International Atomic Energy Agency 
Course on Cervical 
Cancer Prevention 
Duration: 60 hours to 
Participants: 
Healthcare 
professionals, 
nurses and 
midwives… 
300 participants 
Aimed at: 
Morocco, 
Ghana, Uganda, 
Tanzania and 
Zambia 
Countries: 
Volunteers, 
social workers, 
CHW working in 
Sub-Sahara… 
101 participants 
Ghana, Uganda, 
Tanzania and 
Zambia 
Doctors 
specializing in 
Clinical 
Oncology… 
Estimated 300 
participants per 
year 
Egypt, Ghana, 
Uganda, 
Tanzania, South 
Africa and 
Zambia 
Cancer Skills Package 
for Community Health 
Workers 
Clinical Oncology 
Course 
18 hours to 
complete in 4 
weeks. 
complete in 4 
months. 
245 hours to 
complete in 12 
months.
Results 
More than 1.500 hours of 
e-learning materials in 
oncology 
36 courses Courses in 5 languages 
200 professionals as 
authors, tutors and 
directors 
13.000 participants 
worldwide: Europe, Africa, 
Latin America, Russia, Asia 
70% of participants 
certified
Previous collaboration between 
e-oncologia and partners in spreading and 
creating educational programs in cancer 
care: 
 Bolivia 
 Guatemala 
 Paraguay 
Network in Latino América
Brief Intervention in Tobacco Cessation 
Aim: 
Train health professional in a very practical and 
accessible way on how to assist efficiently smoker 
patients at the hospital setting. 
Based on valid results from meta-analysis and 
clinical practice guidelines 
Carson KV, VerbiestME, Crone MR, BrinnMP, Esterman AJ, AssendelftWJ, et al. Training health professionals in smoking cessation. 
Cochrane Database Syst Rev 2012 May 16;5:CD000214 
Fiore MC, Jaén CR, Baker TB. Treating Tobacco Use and Dependence: 2008 Update. May 2008
Brief Intervention in Tobacco Cessation 
Target group 
Health professionals in general: Doctors, Nurses, Midwifes, 
Phycologists, and so on. 
Setting 
Hospitals with acute, middle and long-term stays
Brief Intervention in Tobacco Cessation 
Pedagogical recourses 
 Online content 
 Online practical cases 
 Self-assessment cases 
 Final test 
 Online forums 
 Thesaurus 
 References 
 Technical assistance
Brief Intervention in Tobacco Cessation 
Content presented in four modules 
Module 1: Tobacco as a public health problem 
Brief presentation of the magnitude and impact of tobacco consumption
Brief Intervention in Tobacco Cessation 
Module 2: Smoker assessment 
Tools to assess tobacco dependence and motivation to quit 
 Description of tobacco products 
 What is dependence? Evaluation of dependence (Fagerström test) 
 Evaluation of motivation (Richmond/Prochaska and Di Clemente) 
 Evaluation of self-efficacy 
 Presentation of practical cases
Catalan institute webinar slides
Evaluation of dependence (Fagerström test) 
Evaluation of motivation (Prochaska and Di Clemente)
Brief Intervention in Tobacco Cessation 
Module 3: 
Introduction of different levels of tobacco cessation intervention 
Strong attention to the WHO Brief Intervention Model (5As) 
Presentation of 5 Rs 
Presentation of case
Brief Intervention in Tobacco Cessation 
Module 4: Treatment 
Presentation of pharmacological treatments for tobacco cesssation 
Follow-up ( control visits, relapses, etc)
Brief Intervention in Tobacco Cessation 
Evaluation
Summary about the adaptation of the online course 
3 experts will evaluate the 
content of the course 
The contents will be 
modified accordingly 
5 a 10 health professionals 
will test it 
If they find improvement, 
they will be included The final version will be 
offered to all professionals 
of the 3 countries
Open turn of questions 
Desarrollo y Difusión 
de Formación para 
Dejar de Fumar 
en países de Habla Hispana 
en Latinoamérica

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Catalan institute webinar slides

  • 1. Desarrollo y Difusión de FoRmacIon para dejar de FUmar en Latinoamerica Proyecto FRuItFUL 10 December 2014
  • 2. Agenda 17:00-17:05: Round presentation 17:05- 17:30: Background: The Catalan Institute of Oncology - Catalan Network of Tobacco free Hospitals - E-oncologia: Online platform Online Course: - Pedagogical resources - Modules and contents - Evaluation Adaptation to Latino American Countries 17:30-18:00: Open turn of questions
  • 3. Background: Catalan Institute of Oncology (ICO) It is a comprehensive cancer center created in 1995: ICO covers:  Prevention (Tobacco Control Unit-Catalan Network)  Care specialist training (E-oncologia)  Research http://ico.gencat.cat/es
  • 4. Background: Catalan Network for Tobacco free Hospitals Began promoting tobacco control at hospitals in 2000. It coordinates 71 public hospitals in Catalonia. Main aim to develop a common strategy amongst healthcare services active in tobacco prevention and cessation Training and Education is one of its strategic pillars. We offer in person courses and an online course since 2012. www.xchsf.com
  • 5. It is an online space for specialized oncology education. e-oncología represents the first experience in online continuous education in oncology in Spanish language. Its main aim is to create virtual learning spaces related to cancer. It is an initiative from the Catalan Institute of Oncology, a comprehensive cancer center. www.e-oncologia.org Background: e-oncologia
  • 6. What we do Programs Projects SEOM Post-graduate certificate on medical oncology for residents. 942 h Radiotherapy oncology education. 85 h Cervical Cancer Prevention Program. 25 h Oncology nursing education. 155 h Cancer Research and Epidemiology Program. 480 h VUCCnet: Virtual University Cancer Control in Africa. IAEA SMILE-ON: Supporting innovative learning approaches through Mobile Integration in the workpLacE - Oncology Nursing. LEONARDO European Grant
  • 7. VUCCnet – International Atomic Energy Agency Course on Cervical Cancer Prevention Duration: 60 hours to Participants: Healthcare professionals, nurses and midwives… 300 participants Aimed at: Morocco, Ghana, Uganda, Tanzania and Zambia Countries: Volunteers, social workers, CHW working in Sub-Sahara… 101 participants Ghana, Uganda, Tanzania and Zambia Doctors specializing in Clinical Oncology… Estimated 300 participants per year Egypt, Ghana, Uganda, Tanzania, South Africa and Zambia Cancer Skills Package for Community Health Workers Clinical Oncology Course 18 hours to complete in 4 weeks. complete in 4 months. 245 hours to complete in 12 months.
  • 8. Results More than 1.500 hours of e-learning materials in oncology 36 courses Courses in 5 languages 200 professionals as authors, tutors and directors 13.000 participants worldwide: Europe, Africa, Latin America, Russia, Asia 70% of participants certified
  • 9. Previous collaboration between e-oncologia and partners in spreading and creating educational programs in cancer care:  Bolivia  Guatemala  Paraguay Network in Latino América
  • 10. Brief Intervention in Tobacco Cessation Aim: Train health professional in a very practical and accessible way on how to assist efficiently smoker patients at the hospital setting. Based on valid results from meta-analysis and clinical practice guidelines Carson KV, VerbiestME, Crone MR, BrinnMP, Esterman AJ, AssendelftWJ, et al. Training health professionals in smoking cessation. Cochrane Database Syst Rev 2012 May 16;5:CD000214 Fiore MC, Jaén CR, Baker TB. Treating Tobacco Use and Dependence: 2008 Update. May 2008
  • 11. Brief Intervention in Tobacco Cessation Target group Health professionals in general: Doctors, Nurses, Midwifes, Phycologists, and so on. Setting Hospitals with acute, middle and long-term stays
  • 12. Brief Intervention in Tobacco Cessation Pedagogical recourses  Online content  Online practical cases  Self-assessment cases  Final test  Online forums  Thesaurus  References  Technical assistance
  • 13. Brief Intervention in Tobacco Cessation Content presented in four modules Module 1: Tobacco as a public health problem Brief presentation of the magnitude and impact of tobacco consumption
  • 14. Brief Intervention in Tobacco Cessation Module 2: Smoker assessment Tools to assess tobacco dependence and motivation to quit  Description of tobacco products  What is dependence? Evaluation of dependence (Fagerström test)  Evaluation of motivation (Richmond/Prochaska and Di Clemente)  Evaluation of self-efficacy  Presentation of practical cases
  • 16. Evaluation of dependence (Fagerström test) Evaluation of motivation (Prochaska and Di Clemente)
  • 17. Brief Intervention in Tobacco Cessation Module 3: Introduction of different levels of tobacco cessation intervention Strong attention to the WHO Brief Intervention Model (5As) Presentation of 5 Rs Presentation of case
  • 18. Brief Intervention in Tobacco Cessation Module 4: Treatment Presentation of pharmacological treatments for tobacco cesssation Follow-up ( control visits, relapses, etc)
  • 19. Brief Intervention in Tobacco Cessation Evaluation
  • 20. Summary about the adaptation of the online course 3 experts will evaluate the content of the course The contents will be modified accordingly 5 a 10 health professionals will test it If they find improvement, they will be included The final version will be offered to all professionals of the 3 countries
  • 21. Open turn of questions Desarrollo y Difusión de Formación para Dejar de Fumar en países de Habla Hispana en Latinoamérica